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General NPI Number Information
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NPI Number | 1518699982
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Entity Type | Individual
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Provider Name | BRYAN LEE CHAN MD, MPH
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Gender | Male
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Dates
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Enumeration Date | 06/25/2022
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 1000 W CARSON ST
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City | TORRANCE
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State | CA
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Zip | 90502-2004
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Country | US
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Telephone | 424-306-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 528 ARBOLADA DR
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City | ARCADIA
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State | CA
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Zip | 91006-2112
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Country | US
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Telephone | 626-427-5258
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A189821
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | A189821
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License Number State | CA
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